P05-04 Physical activity level and sedentary time prior to cardiac ward admission among patients with cardiovascular disease and its association to all-cause mortality

Abstract Background Low physical activity (PA) level and high sedentary time (SED) have been associated to cardiovascular (CVD) morbidity and mortality. Routinely assessing the PA-level of patients being admitted to hospital has been proposed. The aim was to explore PA-level and SED among patients prior to cardiac ward admission and whether this can predict all-cause mortality. Methods A longitudinal observational study of patients with ischemic heart disease, heart failure, cardiac arrhythmia, valvular heart disorder and inflammatory heart diseases treated on cardiac wards (2015-2016) in Stockholm, Sweden. Data on PA-levels and SED prior to admission were collected by validated questionnaires during inpatient care. PA level a regular week was calculated by an index (3-19 points) including everyday PA and exercise. The cut-off of insufficiently physically active was set to > 9 points. Individuals' reporting ≥7 hours of sitting a normal day were categorised as high SED. Differences in PA-level and SED between different diagnose groups were explored by Benjamini-Hochberg procedure. The associations between PA-level and SED with all-cause mortality were analysed using cox regressions, adjusting for age, sex, diagnosis group, education level, disposable income, smoking status, alcohol consumption and eating habits. Results Among 1148 patients with CVD, approximately 56% were considered as insufficiently physically active (>9 points). In addition, approximately half the study population were categorized as high SED (≥7 hours per day). There were differences in PA-level and SED between the various cardiovascular diagnoses, with individuals with heart failure and valvular heart disorder being in general more inactive and having higher levels of SED. A total of 200 deaths occurred during a median follow-up time of 2.6 years. The mortality was higher among those categorised as insufficiently physically active (HR 1.49, 95% CI 1.08-2.07) or high SED (HR 1.79, 95% CI 1.32-2.43) compared to those reporting sufficient PA and low SED, respectively. Conclusion A high amount reported insufficient PA and a high amount of SED preceding hospitalisation. There was an association between PA (negatively) and SED (positively) with all-cause mortality among patients with CVD. This highlights the prognostic value of assessing patients' PA-level and SED in clinical practice.


Background
The purpose of the study was to evaluate the role of physical exercises in improving cognitive functions in type 2 diabetes mellitus.

Methods
The study protocol was approved by an ethics committee and all patients signed an informed consent. We examined 204 patients with type 2 diabetes aged 61.7 AE 11.2 years (persons hospitalized in the endocrinology department of the clinics of the Siberian State Medical University, Tomsk). Blind double method patients were randomized into 2 groups: the main one was engaged in physical therapy and the control group (observation). The study was carried out in two stages: at the first visit, a clinical and psychological examination was Abstract citation ID: ckac095.071 P05-04 Physical activity level and sedentary time prior to cardiac ward admission among patients with cardiovascular disease and its association to all-cause mortality Amanda Ek 1 , Lena Kallings 2 , Mattias Ekströ m 3 , Mats Bö rjesson 4 , Ö rjan Ekblom 2 1 Swedish school of sport and Health science, Stockholm, Sweden 2 Å strand Laboratory of Work Physiology, Swedish School of sport and Health sciences, GIH, Stockholm, Sweden 3 Department of Clinical Sciences, Danderyd Hospital, Division of Cardiovascular Medicine, Stockholm, Sweden Background Low physical activity (PA) level and high sedentary time (SED) have been associated to cardiovascular (CVD) morbidity and mortality. Routinely assessing the PA-level of patients being admitted to hospital has been proposed. The aim was to explore PA-level and SED among patients prior to cardiac ward admission and whether this can predict all-cause mortality. Methods A longitudinal observational study of patients with ischemic heart disease, heart failure, cardiac arrhythmia, valvular heart disorder and inflammatory heart diseases treated on cardiac wards (2015)(2016) in Stockholm, Sweden. Data on PA-levels and SED prior to admission were collected by validated questionnaires during inpatient care. PA level a regular week was calculated by an index (3-19 points) including everyday PA and exercise. The cut-off of insufficiently physically active was set to > 9 points. Individuals' reporting !7 hours of sitting a normal day were categorised as high SED. Differences in PAlevel and SED between different diagnose groups were explored by Benjamini-Hochberg procedure. The associations between PA-level and SED with all-cause mortality were analysed using cox regressions, adjusting for age, sex, diagnosis group, education level, disposable income, smoking status, alcohol consumption and eating habits.

Results
Among 1148 patients with CVD, approximately 56% were considered as insufficiently physically active (>9 points). In addition, approximately half the study population were categorized as high SED (!7 hours per day). There were differences in PA-level and SED between the various cardiovascular diagnoses, with individuals with heart failure and valvular heart disorder being in general more inactive and having higher levels of SED. A total of 200 deaths occurred during a median follow-up time of 2.6 years. The mortality was higher among those categorised as insufficiently physically active (HR 1.49, 95% CI 1.08-2.07) or high SED (HR 1.79, 95% CI 1.32-2.43) compared to those reporting sufficient PA and low SED, respectively. Conclusion A high amount reported insufficient PA and a high amount of SED preceding hospitalisation. There was an association between PA (negatively) and SED (positively) with all-cause mortality among patients with CVD. This highlights the prognostic value of assessing patients' PA-level and SED in clinical practice. Keywords: physical exercise, sedentary behaviour, heart diseases, survival Abstract citation ID: ckac095.072 P05-05 Impact of pain and fear of falling in walking performance under single and dual-task conditions in women with fibromyalgia Gusi Narcis 1 , Alvaro Murillo-Garcia 1 , Juan Luis Leon-Llamas 1 , Jesus Sanchez-Gomez 1 , Santos Villafaina 1 1 Faculty of Sport Sciences, University of Extremadura, Caceres, Spain Corresponding author: narcis.gusi@gmail.com Background Fibromyalgia is characterized by stiffness and widespread pain which cause a negative impact on health-related quality of life and activities of daily living. In this regard, these activities are usually presented as dual-task situations (execution of two tasks simultaneously). Some physical fitness tests have been used under dual-task condition in order to evaluate physical fitness under a more ecological approach. It is hypothesized that physical fitness test could provide more information than physical fitness test under single-task condition. Therefore, the aim of the present study was to explore the relationship between 10m walking test performance under both single and dual-task conditions and the fear of falling and the intensity of pain in women with fibromyalgia. Methods A total of 38 women (55.65 [9.28] years-old) participated in the study. Participants performed the 10-m walking test where they have to walk on a 10 meters straight-line as fast as they can. Moreover, the fear of falling and the intensity of pain were measured by a visual analogue scale (0-100).

Results
Furthermore, the performance of 10-m walking test correlated positively with the fear of falling in both under single (rho= 0.550; p-value: > 0.001) and dual-task conditions (rho= 0.483; p-value: 0.002). However, the performance of 10m walking test only positively correlated with pain under dual-task condition (rho= 0.341; p-value: 0.031). In single task condition did not significantly correlate (rho= 0.252; p-value: 0.116).

Conclusions
The performance of 10m walking test under single and dualtask conditions are correlated with the fear of falling. However, the pain intensity only significant correlated with 10m walking test performance under dual-task condition. This could indicate that pain intensity has more influence than the fear